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Deficiency Records for St. Joseph Villa Nursing Center

View the most recent health deficiencies and inspection results for St. Joseph Villa Nursing Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for St. Joseph Villa Nursing Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Meet other general requirements that are deficient. Fire Safety 2026-01-08 2026-02-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-01-08 2026-02-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-01-08 2026-02-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-01-08 2026-02-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2026-01-08 2026-02-20 Y
Provide and implement an infection prevention and control program. Health 2026-01-08 2026-02-20 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2026-01-08 2026-02-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-01-08 2026-02-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2026-01-08 2026-02-20 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2026-01-08 2026-02-20 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2026-01-08 2026-02-20 N
Provide care or services that was trauma informed and/or culturally competent. Health 2026-01-08 2026-02-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2026-01-08 2026-02-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-01-08 2026-02-20 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2026-01-08 2026-02-20 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-01-08 2026-02-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2026-01-08 2026-02-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2026-01-08 2026-02-20 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2026-01-08 2026-02-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2026-01-08 2026-02-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2026-01-08 2026-02-20 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2026-01-08 2026-02-20 N
Meet requirements for the use and maintenance of medical gas equipment. Fire Safety 2026-01-08 2026-02-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-01-08 2026-02-20 N
Install an approved automatic sprinkler system. Fire Safety 2026-01-08 2026-02-20 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2026-01-08 2026-02-20 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2026-01-08 2026-02-20 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2025-07-21 2025-08-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-07-21 2025-08-15 Y
Provide and implement an infection prevention and control program. Health 2025-07-07 2025-07-31 Y
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-08-22 2024-09-21 N
Keep residents' personal and medical records private and confidential. Health 2024-08-22 2024-09-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-22 2024-09-21 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-08-22 2024-09-21 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-08-22 2024-09-21 N
Provide and implement an infection prevention and control program. Health 2024-08-22 2024-09-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-22 2024-09-21 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-08-22 2024-09-21 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-08-22 2024-09-21 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-08-22 2024-09-21 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-08-22 2024-09-21 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-08-22 2024-09-21 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-08-22 2024-09-21 N
Implement emergency and standby power systems. Fire Safety 2024-08-22 2024-09-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-22 2024-09-21 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2023-07-21 2023-08-16 N
Ensure that residents are free from significant medication errors. Health 2023-07-21 2023-08-16 N
Ensure medication error rates are not 5 percent or greater. Health 2023-07-21 2023-08-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-21 2023-08-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-21 2023-08-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-21 2023-08-16 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-07-21 2023-08-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-21 2023-08-16 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-07-21 2023-08-05 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-07-21 2023-08-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-21 2023-08-05 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-07-21 2023-08-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-07-21 2023-08-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-07-21 2023-08-05 N

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